| NPI | 1073239075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1090913) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1090913) | |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-04-30 |